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Active NPI 1427970060 Individual Practitioner Female Practitioner

Ebone Shaneal Brogdon

Counselor - Professional • Chantilly, VA

Professional Overview & Biography Verified Profile Summary

Ebone Brogdon is a registered healthcare professional specializing in Counselor - Professional in Chantilly, VA. Practice services are available at 4229 LAFAYETTE CENTER DR STE 1675 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4229 Lafayette Center Dr Ste 1675

Chantilly, VA 201511270

Telephone 8553264673
Associated Practice Facility / Clinic
🏢 Stay At Home Care Facility NPI 1760870182

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Chantilly, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.6 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
40 Specialists

Practicing in Chantilly, VA (6609 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Mary Elizabeth Paul , LCSW

Social Worker - Clinical

NPI 1023594868

Licensed Clinical Social Worker

Keisha Mainor-Richardson

Counselor - Professional

NPI 1083536650
NPI 1114327699

Licensed Professional Counselor

Leroyal Parker , LPC

Counselor - Professional

NPI 1154967933

Licensed Professional Counselor

Claire Tran , MA

Counselor - Mental Health

NPI 1215653084

Master of Arts

Yamilet Cardenas

Counselor - Mental Health

NPI 1265149272

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 27, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2026

Registered at 4229 LAFAYETTE CENTER DR STE 1675, CHANTILLY, VA 201511270 (Tel: 8553264673)

📍
Updated Business Mailing Address July 27, 2026

Registered at 906 NE 13TH PL, CAPE CORAL, FL 339091510

👤
Provider Name / Credentials Updated July 27, 2026

Recorded as EBONE BROGDON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Counselor

🟢
Initial NPI Registration & Enumeration July 27, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427970060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2026
Last Update: July 27, 2026
Sole Proprietor: Yes

Mailing Address

906 Ne 13th Pl

Cape Coral, FL 339091510

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.